Organization
HOPE & HAVEN FAMILY SERVICES LLC
Active
Organization
HOPE & HAVEN FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONIA SHASHERAH PENNIX OWNER (OWNER)
(773) 661-8193
Entity
Organization
Contact information
Practice address
3015 N SCOTTSDALE RD UNIT 4222, SCOTTSDALE, AZ 85251-7262
(773) 661-8193
(999) 999-9999
Mailing address
644 N COUNTRY CLUB DR STE C, MESA, AZ 85201-4983
(773) 661-8193
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000000
—
AZ
Enumeration date
11/06/2020
Last updated
06/29/2021
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